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1、T?KHAI??NGH?C?PTH?TH?CVI?TNAM(1)VIETNAMESEVISAAPPLICATIONFM(Dngchong??in??cngoi–Ffeigners)1H?tn(ch?inhoa):........................................................................................................Fullname(i

2、ncapitalletters)2Gi?itnh:NamN?3Sinhngy..........thng...........n?m.........................SexMaleFemaleDateofbirth(daymonthyear)4N?isinh:..................................................................................

3、........................................Placeofbirth5Qu?ct?chg?c:................................6Qu?ct?chhi?nnay:.............................................NationalityatbirthCurrentnationality7Tngio:..................

4、..........................8Ngh?nghi?p:...................................................ReligionOccupation9N?ilmvi?c:......................................................................................................

5、.............Employerbusinessaddress10??ach?th??ngtr:...........................................................................................................Permanentresidentialaddress.................................

6、.....................................S??i?ntho?iEmail:.....................................TelephoneEmail11Thnnhn(Familymembers):Quanh?RelationshipH?tn(ch?inhoa)Fullname(incapitalletters)Gi?itnhSexNgysinhDateofbirth(DayM

7、onthYear)Qu?ct?chNationality??ach?th??ngtrPermanentresidentialaddress12H?chi?us?gi?yt?cgitr?thayh?chi?us?:.............................lo?i(4):................PassptInternationalTravelDocumentnumberC?quanc?p:............

8、.......................cgitr???nngy..............................................Issuingauthity:Expirydate(daymonthyear)13Ngynh?pxu?tc?nhVi?tNamg?nnh?t(n?uc):.....................................................Dateofpre

9、viousentryintoVietNam(ifany)14D?ki?nnh?pc?nhVi?tNamngy............................t?mtr?Vi?tNam..............ngyIntendeddateofentry(DayMonthYear)IntendedlengthofstayinVietNam:days15M?c?chnh?pc?nh:........................

10、............................................................................Purposeofentry16D?ki?n??ach?t?mtr?VietNam:………………………………………………....IntendedtemparyresidentialaddressinVietNam17C?quant?ch?cho?ccnhnt?iVi?tNamm?ib?o

11、lnh:HostingganisationindividualinVietNamC?quant?ch?c:..........................................................................................................Nameofhostingganization?nh–photo4x6cmSeenotes(2)??ach?:......

12、..................................................................................................................AddressCnhn:(h?tn)........................................................................................

13、....................Hostingindividual(fullname)??ach?..........................................................................................................................AddressQuanh?v?ib?nthn.......................

14、...........................................................................Relationshiptotheapplicant18Tr?emd??i14tu?i?icngh?chi?u(n?uc):Accompanyingchild(ren)under14yearsoldincludedinyourpasspt(ifany)S?TTNoH?tn(ch?uinho

15、a)Fullname(incapitalletters)Gi?itnh(sex)Ngythngn?msinhDateofbirth19??ngh?c?pth?th?c:m?tl?nnhi?ul?nApplyingfavisaSingleMultipleT?ngy:...................................??nngy:..............................Validfrom(DayMon

16、thYear)to(DayMonthYear)20??ngh?khclinquanvi?cc?pth?th?c(n?uc):.....................................................Otherrequests(ifany).....................................................................................

17、.................................................Tixincam?oannh?ngn?idungtrn?yl?ngs?th?t.Ideclaretothebestofanyknowledgethatalltheaboveparticulararecect.Lmt?i:.......................ngy......thng…...n?m...........Doneatd

18、ate(DayMonthYear)Ng??i??ngh?(kghirh?tn)Theapplicant’ssignaturefullnameGhichNotes:(1)M?ing??ikhai01b?nkmtheoh?chi?uho?cgi?yt??il?iqu?ct?n?ptr?cti?pt?ic?quan??idi?nVi?tNam?n??cngoiho?c??nv?ki?msotxu?tnh?pc?nht?ic?akh?uqu?c

19、t?n?inh?nth?th?c.SubmitinpersononecompletedapplicationfmenclosedwithpassptInternationalTravelDocumentattheVietnameseDiplomaticMissionabroadattheinternationalbdercheckpointimmigrationofficewherethevisaisissued.(2)Km02?nhm

20、?ich?pc?4x6cmphngn?ntr?ngm?tnhnth?ng??u??tr?nkhng?eoknhm?u(01?nhdnvot?khai01?nh??r?i).Enclose2recentlytakenphotosin4x6cmsizewithwhitebackgroundfrontviewbareheadwithoutsunglasses(oneofthefmtheotherseparate)(3)Ghirb?m?v?ch

21、?ngconanhch?emru?t(n?uc).Stateclearlytheinfmationaboutparentsspousechildrensiblings(ifany).(4)Ghirlo?ih?chi?uph?thngcngv?ngo?igiaoho?cgi?yt?cgitr??il?iqu?ct?.SpecifictypeofpassptwhetheritisdinaryOfficialDiplomaticspecify

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